Abdominal pain in an elderly patient

Surgery ◽  
2021 ◽  
Author(s):  
Rathnayaka M.K.D. Gunasingha ◽  
Joseph Bozzay ◽  
Jessie Elliot
2018 ◽  
Vol 28 (6) ◽  
pp. S81-S83 ◽  
Author(s):  
Onder Karabay ◽  
Mustafa Genco Erdem ◽  
Mustafa Hasbahceci

2011 ◽  
Vol 12 (1) ◽  
pp. 81-85
Author(s):  
Mohammad Robed Amin ◽  
Farzana Shumi ◽  
Hasibuddin Khan ◽  
Syed Ahmed Abdullah ◽  
Shafiul Alam ◽  
...  

An elderly patient presented with prolonged fever, gross weight loss, recurrent haemoptysis and abdominal pain. He had a background history of adrenal tuberculosis with completion of treatment without any obvious improvement. Clinically he was diagnosed as a case of adrenocotical insufficiency. Evaluation including histopathology revealed the diagnosis as disseminated histoplasmosis involving adrenal gland and lungs. The disease is a rarity without any underneath immunosuppression and hence high index of suspicion with appropriate steps for investigation is the key to achieve a diagnosis of disseminated histoplasmosis in Bangladesh. Keyword: . DOI: 10.3329/jom.v12i1.6936J Medicine 2011; 12 : 81-85


2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Cassidy Campbell ◽  
Edward A Cooper ◽  
Philip Kennedy

Abstract Cholecystitis is a rare sequela of colonoscopy, the relationship between which has not yet been defined. This case study reviews a rural elderly patient who developed right upper quadrant pain following routine colonoscopy. He developed emphysematous cholecystitis, which required laparoscopy with conversion to open via Kocher’s incision and underwent a subtotal cholecystectomy due to the severity of necrosis and inflammation. He had an uncomplicated recovery. Colonoscopy is an important diagnostic procedure, the most common complications of which are haemorrhage and perforation. There are less than 10 cases of associated cholecystitis and no reports of emphysematous cholecystitis. The hypothesized pathogenesis is dehydration and lithogenesis associated with traumatic translocation of organisms, however, no definitive correlation has been determined. Due to the potential health impact, cholecystitis cannot be excluded regarding post-colonoscopy abdominal pain, however, the correlation between procedure and pathology remains unclear.


1999 ◽  
Vol 6 (6) ◽  
pp. 181-185 ◽  
Author(s):  
C.Funsho Fagbohun ◽  
Eugene C Toy ◽  
Benton Baker

2021 ◽  
Vol 11 (03) ◽  
pp. 370-378
Author(s):  
Yaroslav Andrew Jakymec ◽  
Cara Sherman ◽  
Michelle Annabi-Rabadi ◽  
Majed Samarneh ◽  
Hanady Zainah

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Abdoul Kadir Ibrahim Mamadou ◽  
Souleymane Mounkaila ◽  
Nouhou Hama Aghali ◽  
Mahaman Laouali Harouna Amadou ◽  
Ousseini Adakal

Abstract Introduction Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis. Case presentation We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation. Conclusion Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.


1981 ◽  
Vol 62 (5) ◽  
pp. 69-70
Author(s):  
D. M. Krasilnikov ◽  
A. D. Dzamukov ◽  
R. V. Yunusov

Diagnosis and treatment of acute intestinal obstruction is extremely difficult, especially in elderly and senile people. I., 90 years old, was admitted to the surgical department on 14 / ІХ 1980 at 21 hours with complaints of severe abdominal pain of a constant nature, vomiting of bile, stool retention, severe weakness. Suddenly fell ill on 13 / IX: at 9 o'clock there were severe cramping pains in the abdomen, vomiting, severe weakness. Over time, the pain became constant, vomiting did not stop. Within 36 hours before admission to the surgical department, the patient was repeatedly examined by emergency doctors. In 1970, the patient underwent surgery for gangrenous appendicitis. Such an attack marks the first time.


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